Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $198.34 / $351.92	Facility		$86.88	$198.34	$351.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $115.39 / $239.65	Professional		$37.27	$115.39	$239.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $104.38 / $201.90	Facility		$79.36	$104.38	$201.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $59.25 / $61.11	Professional		$53.82	$59.25	$61.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Facility		$238.00	$238.00	$238.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $71.48 / $95.41	Professional		$44.72	$71.48	$95.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $129.46 / $252.94	Facility		$36.28	$129.46	$252.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $138.34	Professional		$22.36	$22.36	$138.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $75.23 / $111.43	Facility		$44.72	$75.23	$111.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $74.09 / $100.53	Professional		$44.72	$74.09	$100.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $63.36 / $76.03	Professional		$43.61	$63.36	$76.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $22.36 / $74.54	Professional		$21.24	$22.36	$74.54